Stroke Clinical Trial
Official title:
The Development Of MEdical Rehabilitation inRussia Pilot Project
The Programme is focused on adult patients of any gender and age more than 18 y.o., with the
next conditions:
1. Acute cerebrovascular events (ACE, ischemic stroke or intracerebral hemorrhage -
specialty neurology)
2. Acute myocardial infarction (AMI, specialty cardiology)
3. Patients after total hip replacement (THR, specialty orthopaedia) The program is
performed in the in-patient and out-patient rehabilitation departments in 13 regions of
the Russian Federation (total 244 departments).
Status | Recruiting |
Enrollment | 2000 |
Est. completion date | December 2020 |
Est. primary completion date | September 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Age over 18 years old - Ischemic stroke or intracerebral hemorrhage - Patients with acute myocardial infarction with elevation of segment ST (STMI) - Total hip replacement caused by degenerative processes Exclusion Criteria: - uncorrected metabolic diseases (diabetes mellitus, myxoedema, thyrotoxicosis); - III hepatic or pancreatic insufficiency - heavy or repeated hemorrhages of any reason or anaemia Hb<80g/l; - parasitoses; - acute infectious disease; - active stage of any form of tuberculosis; - patients with transmissible sexual diseases; - mental illness with personality desocialisation; - complicate ventricular rhythm disturbances - high risk of thromboembolism - absence of motivation - decompensation of somatic functions |
Country | Name | City | State |
---|---|---|---|
Russian Federation | StPetersburgSPMU | Saint Petersburg |
Lead Sponsor | Collaborator |
---|---|
St. Petersburg State Pavlov Medical University | Ministry of Health, Russian Federation, Nizhegorodskoye Federal State Unitary Enterprise, Pirogov Russian National Research Medical University, Ural district Institute of Brain, Vladivostok State Medical University, Voino-Yasenetsky Krasnoyarsk State Medical University |
Russian Federation,
Duncan PW, Zorowitz R, Bates B, Choi JY, Glasberg JJ, Graham GD, Katz RC, Lamberty K, Reker D. Management of Adult Stroke Rehabilitation Care: a clinical practice guideline. Stroke. 2005 Sep;36(9):e100-43. — View Citation
Kube E, Erhardt E. [Drug abuse prevention by police educational measures--Some remarks]. Arch Kriminol. 1991 Jan-Feb;187(2):23-7. German. — View Citation
Law M, Polatajko H, Pollock N, McColl MA, Carswell A, Baptiste S. Pilot testing of the Canadian Occupational Performance Measure: clinical and measurement issues. Can J Occup Ther. 1994 Oct;61(4):191-7. — View Citation
Miller EL, Murray L, Richards L, Zorowitz RD, Bakas T, Clark P, Billinger SA; American Heart Association Council on Cardiovascular Nursing and the Stroke Council. Comprehensive overview of nursing and interdisciplinary rehabilitation care of the stroke pa — View Citation
Pollock N, Baptiste S, Law M, McColl MA, Opzoomer A, Polatajko H. Occupational performance measures: a review based on the guidelines for the client-centred practice of occupational therapy. Can J Occup Ther. 1990 Apr;57(2):77-81. Review. — View Citation
Robbins CE, Casey D, Bono JV, Murphy SB, Talmo CT, Ward DM. A multidisciplinary total hip arthroplasty protocol with accelerated postoperative rehabilitation: does the patient benefit? Am J Orthop (Belle Mead NJ). 2014 Apr;43(4):178-81. — View Citation
Winstein CJ, Stein J, Arena R, Bates B, Cherney LR, Cramer SC, Deruyter F, Eng JJ, Fisher B, Harvey RL, Lang CE, MacKay-Lyons M, Ottenbacher KJ, Pugh S, Reeves MJ, Richards LG, Stiers W, Zorowitz RD; American Heart Association Stroke Council, Council on C — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Criteria of rehabilitation potential | up to 6 months | ||
Other | Criteria for the transferring to the next stage or to another hospital | up to 6 months | ||
Other | Case mix groups on basic functional disturbances (by ICF) | up to 6 months | ||
Other | Criteria for the transferring to the palliative or nursing care | up to 6 months | ||
Primary | Mortality | through study completion, an average of 1 month | ||
Primary | Recovery of functions, activity and participation | modified Renkin scale) | through study completion, an average of 1 month | |
Secondary | Mortality | 90 days after discharge | ||
Secondary | Recovery of functions, activity and participation | 90 days after discharge | ||
Secondary | Environmental adaptation | 90 days after discharge | ||
Secondary | Preventable conditions | Pain Trophic disturbances Muscle tonus disturbances Contractures Cognitive disorders Inadequate tolerance Social disadaptation etc | 90 days after discharge | |
Secondary | Time of start of rehabilitation | through study completion, an average of 1 month | ||
Secondary | Time of the first, interim and final expert assessment of rehabilitation potential | through study completion, an average of 1 month | ||
Secondary | Duration of hospitalization | through study completion, an average of 1 month | ||
Secondary | Duration of rehabilitation process for the achievement the goals for each stage of rehabilitation | through study completion, an average of 1 month | ||
Secondary | Duration of rehabilitation process from onset of disease to final or to transfer the patient or to establishing the disability | through study completion, an average of 1 month |
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